TY 2017 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) Acevedo Rafael Jr...................................................................... Director	1.00 ................. 0.00	X		0	0	0
(2) Bechtel Kathleen...................................................................... Dir&VP Pt Care	40.00 ................. 0.00	X		423,175	0	68,628
(3) Bria Michele...................................................................... Director	1.00 ................. 0.00	X		0	0	0
(4) Butler Louis Jr...................................................................... Director	1.00 ................. 0.00	X		0	0	0
(5) Callahan Margaret...................................................................... Director	1.00 ................. 0.00	X		0	0	0
(6) Gendelman Lori...................................................................... Director	1.00 ................. 0.00	X		0	0	0
(7) Gore Cecelia...................................................................... Director	1.00 ................. 0.00	X		0	0	0
(8) Jacobson Catherine A...................................................................... Dir&FH Pres/CEO	1.00 ................. 46.00	X		0	2,692,742	353,875
(9) Johnson Nina VA...................................................................... Director	1.00 ................. 0.00	X		0	0	0
(10) Lauer Kathryn MD...................................................................... Director	1.00 ................. 0.00	X		0	0	0
(11) Patterson Renee...................................................................... Director	1.00 ................. 0.00	X		0	0	0
(12) Resnick Andrew MD...................................................................... Director	1.00 ................. 0.00	X		0	0	0
(13) Zizzo Anne...................................................................... Director	1.00 ................. 0.00	X		0	0	0
(14) Buck Catherine J...................................................................... Dir&FMLH Pres	50.00 ................. 1.00	X	X	1,204,354	0	51,956
(15) Fulkerson Jay...................................................................... Dir&BOD Chair	1.00 ................. 0.00	X	X	0	0	0
(16) Sevenich Jenni...................................................................... Dir&BOD V.Chair	1.00 ................. 0.00	X	X	0	0	0
(17) Ceelen John...................................................................... Treasurer	1.00 ................. 50.00		X	0	545,785	123,640

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

FROEDTERT MEMORIAL LUTHERAN HOSPITAL
INC

Employer identification number

39-6105970

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:	17005038
Software Version:	2017v2.2

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

FROEDTERT MEMORIAL LUTHERAN HOSPITAL
INC

Employer identification number

39-6105970

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC		Employer identification number 39-6105970

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC			Employer identification number 39-6105970
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:	17005038
Software Version:	2017v2.2

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

FROEDTERT MEMORIAL LUTHERAN HOSPITAL
INC

Employer identification number

39-6105970

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	12,221,884	11,687,212	12,000,842	11,443,996	9,551,972
b	Contributions ...	117,782	189,731	106,927	785,742	1,621,971
c	Net investment earnings, gains, and losses	490,740	898,893	-31,188	137,282	785,813
d	Grants or scholarships ...	235,262	326,196	322,577	286,129	360,702
e	Other expenditures for facilities and programs ...	254,695	227,973	67,897	91,022	144,472
f	Administrative expenses ....	921	-217	-1,105	-10,973	10,586
g	End of year balance ......	12,339,528	12,221,884	11,687,212	12,000,842	11,443,996

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

97.000 %

Permanent endowment SchDMd Bullet

3.000 %

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	2,313		2,313
b	Buildings ....	535,394,239	178,627,279	356,766,960
c	Leasehold improvements	247,845,190	77,983,423	169,861,767
d	Equipment ....	396,507,933	283,179,694	113,328,239
e	Other .....	169,982,994	60,033,462	109,949,532
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				749,908,811

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	25,777,217
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	1,681,594,001
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	22,857
e	Add lines 2a through 2d .....................			2e	22,857
3	Subtract line 2e from line 1..................			3	1,681,571,144
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	45,995,130
c	Add lines 4a and 4b....................			4c	45,995,130
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,727,566,274

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	1,547,463,000
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	22,857
e	Add lines 2a through 2d....................			2e	22,857
3	Subtract line 2e from line 1...................			3	1,547,440,143
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	42,068,321
c	Add lines 4a and 4b.....................			4c	42,068,321
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,589,508,464

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Part V, Line 4: Intended uses of the endowment fund.	The funds are held by Froedtert Hospital Foundation, Inc.(FHF), a related organization. FHF maintains several types of endowment funds. The board designated/quasi-endowment funds were created to support the financial needs of various departments and programs of Froedtert Memorial Lutheran Hospital, Inc. For permanently restricted endowment funds, the intent of the funds depends on the restriction that applies to that particular endowment, as prescribed by the donor. Depending on the particular endowment, the intended uses include fellowships, research, and educational resources for the community.
Part X : FIN48 Footnote	Froedtert Health Inc., the parent entity into which Froedtert Memorial Lutheran Hospital, Inc. results are consolidated, applies ASC No. 740, Income Taxes, which clarifies the accounting for uncertainty in income taxes recognized in a company's financial statements. ASC No. 740 prescribes a more-likely-than-not recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken. Under ASC No. 740, tax positions are evaluated for recognition, derecognition, and measurement using consistent criteria and provide more information about the uncertainty in income tax assets and liabilities. As of June 30, 2018 and 2017, Froedtert Memorial Lutheran Hospital, Inc. does not have an asset or liability recorded for unrecognized tax positions.
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990	$0 Asset Dispositions $22857
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S	Corporate Allocated Revenue (507999) $42059107 Contribution FHF $1929241 Contribution FMLH Trust $2000000 Rounding $6782
Part XII, Line 2d: Other expenses and losses per audited F/S	Asset Dispositions $22857
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S	Corporate allocated revenue $42059107 Rounding $9214

Schedule D (Form 990) 2019

Additional Data

Software ID:	17005038
Software Version:	2017v2.2

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

FROEDTERT MEMORIAL LUTHERAN HOSPITAL
INC

Employer identification number

39-6105970

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 25000.0000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			8,039,055		8,039,055	0.510 %
b	Medicaid (from Worksheet 3, column a) . . . . .			248,089,390	156,507,339	91,582,051	5.760 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			256,128,445	156,507,339	99,621,106	6.270 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	23	70,300	6,404,548		6,404,548	0.400 %
f	Health professions education (from Worksheet 5) . . .	6	2,073	98,434,779		98,434,779	6.190 %
g	Subsidized health services (from Worksheet 6) . . . .	2	5,587	580,332		580,332	0.040 %
h	Research (from Worksheet 7) .	1	377	2,021,472		2,021,472	0.130 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	10		1,377,037		1,377,037	0.090 %
j	Total. Other Benefits . .	42	78,337	108,818,168		108,818,168	6.850 %
k	Total. Add lines 7d and 7j .	42	78,337	364,946,613	156,507,339	208,439,274	13.120 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	1		997	997
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	5	253	114,495	114,495	0.010 %
9	Other
10	Total	6	253	115,492	115,492	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

44,233,951

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

261,390,274

Enter Medicare allowable costs of care relating to payments on line 5.....

302,621,180

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-41,230,906

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	FMLH 9200 W Wisconsin Milwaukee,WI53226 www.froedtert.com 232, 279	X	X	X	X	X

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FMLH
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 17

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www.froedtert.com/community-benefit

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): See Schedule O

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

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Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FMLH
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.0000%
and FPG family income limit for eligibility for discounted care of 400.0000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

www.froedtert.com/financial-services

The FAP application form was widely available on a website (list url):

www.froedtert.com/financial-services

A plain language summary of the FAP was widely available on a website (list url):
Same as 16a & 16b

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	FMLH
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FMLH
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Part V, Line 5 - Account Input from Persons Who Represent the Community	Froedtert & The Medical College of Wisconsin is a member of the Milwaukee Health Care Partnership www.mkehcp.org, a public private consortium dedicated to improving care for underserved populations in Milwaukee County. Through the Partnership, Milwaukees five health systems and the Milwaukee Health Department aligned resources to complete a shared community health needs assessment (CHNA). The CHNA was conducted throughout Milwaukee County from March 16 through July 14, 2015. Supported by additional analysis from the Center for Urban Population Health, this community-wide CHNA includes findings from a community health survey of over 2,000 adults, significant key informant interviews and a secondary source data analysis. The findings of all the components of the CHNA were released to Froedtert Hospital in January 2016. The CHNA was conducted early to ensure greater alignment with the fiscal year and the execution of implementation strategies in the Community Health Improvement Plan (CHIP). This was due to participating health systems in the Milwaukee Health Care partnership, having various fiscal years. Therefore, the community health improvement plan was developed at end of FY2016 for start of implementation July 1, 2017. Key informants in Milwaukee County were identified by the Milwaukee Health Care Partnership in collaboration with the City of Milwaukee Health Department. The interviews were conducted by Partnership members and graduate students supervised by the City of Milwaukee Health Department. The interviewers used a standard interview script (schedule) that included the following elements: Ranking of up to five public health issues, based on the focus areas presented in Wisconsins State Health Plan, that are the most important issues for the County.All informants were made aware that participation was voluntary and that responses would be shared with the Center for Urban Population Health for analysis and reporting. The top issues were identified primarily through key informant rankings in combination with summaries of priority issues identified in the focus groups. Additionally, qualitative analysis of responses focused on relationships between issues, with emerging themes used to inform the final rankings. Lastly, representatives from each health system and the City of Milwaukee Health Department (all of whom had conducted interviews or supervised interviewers) participated in an analytic session to critique and validate findings. Forty-one individual key informant interviews were conducted in Milwaukee County. Of note, nine public health officers participated in the interviews as key informants. Twenty-two additional key informants participated in four focus groups conducted using the same interview schedule.Key Informant Interview organizations:Milwaukee County Department on AgingCity of Milwaukee Health Department West Allis Fire Department West Allis/West Milwaukee Chamber of CommerceNorth Shore Health Department Center for Veterans Issues Milwaukee County Department of Health & Human Services Childrens Health Alliance of Wisconsin/Milwaukee County Oral Health Task Force Milwaukee Public SchoolsCommunity AdvocatesTri-City National BankMilwaukee Police Department Cudahy Health DepartmentMilwaukee Center for Independence CORE/El CentroAIDS Resource Center of Wisconsin Mental Health America of Wisconsin City of West Allis Childrens Hospital of Wisconsin Gerald. E. Ignace Indian Health Center Next Door Foundation Wauwatosa Health Department Boys & Girls Clubs of Greater Milwaukee Apostle Presbyterian Church Black Health Coalition of Wisconsin, Inc.Medical College of Wisconsin Institute for Health and Society West Allis & West Milwaukee Health Department South Milwaukee Health Department MP3 Health GroupUW-Milwaukee Joseph J. Zilber School of Public Health YWCA Southeast Wisconsin Oak Creek Health Department IMPACT Planning Council Greenfield Health Department Centro Hispano YMCA of Metro MilwaukeeUnited Way of Greater Milwaukee and Waukesha County Milwaukee County Behavioral Health Division West Allis/West Milwaukee School District Franklin Health Department Hmong American Womens Association Group Interviews/Focus Groups:EMS Council of Milwaukee County Free and Community Clinic Collaborative Federally Qualified Health Center (FQHC) Coalition Medical Society of Milwaukee County
Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment	Froedtert & The Medical College of Wisconsin is a member of the Milwaukee Health Care Partnership www.mkehcp.org, a public-private consortium dedicated to improving care for underserved populations in Milwaukee County. Through the Partnership, Milwaukees five health systems and the Milwaukee Health Department aligned resources to complete a shared community health needs assessment (CHNA) in 2015 and results released to Froedtert Hospital in January 2016. Supported by additional analysis from the Center for Urban Population Health, this community-wide CHNA includes findings from a community health survey of over 2,000 adults, 41 key informant interviews, 4 focus groups and a secondary source data analysis. This shared CHNA serves as the foundation for Froedtert Hospitals implementation strategy to improve health outcomes and reduce disparities in Milwaukee County.Milwaukee County: Aurora Health SystemChildrens Hospital of WisconsinFroedtert & The Medical College of WisconsinAscension Health SystemJKV Research was hired by the participating Health Care Systems and Health Departments to lead the CHNA process for Milwaukee County. The total cost of each CHNA was shared by each of the participating health systems and health departments. Each health system and health department was assigned to conduct key informant interviews within their service area.
Part V, Line 7d - Description of Making Needs Assessment Widely Available	The full version of the most recent and past CHNA summaries, reports and other supporting documents can be found on Froedtert Healths website: http://www.froedtert.com/upload/docs/giving/community-benefit/milwaukee-county-chna-community-health-survey.pdfhttp://www.froedtert.com/upload/docs/giving/community-benefit/milwaukee-county-chna-executive-summary.pdfhttp://www.froedtert.com/upload/docs/giving/community-benefit/milwaukee-county-chna-key-informant-interview-report.pdfhttp://www.froedtert.com/upload/docs/giving/community-benefit/milwaukee-county-chna-secondary-data-report.pdfAdditional Websites:http://mkehcp.org/publications
Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why	ORAL HEALTH SERVICES (Health Care Access): In Milwaukee County, 19% reported unmet dental needs. Explanation: Froedtert Hospital does not have the dedicated resources. There are other health systems and local organizations dedicated to improve access to dental care.BEHAVIORAL HEALTH SERVICES (Health Care Access): From 2003-2012, there was a statistical increase in those reporting considering suicide. Explanation: Froedtert Hospital is working with other private health system providers and Milwaukee County Behavioral Health Division to develop new systems of care for individuals with mental illness and substance abuse.TEEN PREGNANCY (Sexual Health): In Milwaukee County: 48.2 births per 1,000 teens age 15-19 vs. 26.2 births per 1,000 in Wisconsin. Explanation: The Aids Resource Center of Wisconsin and the City of Milwaukee Health Department are the lead agencies in reducing the incidence of sexually transmitted diseases in the community.HIGH STI RATES (Sexual Health): STI incidence rate is 1,469 per 100,000.Explanation: The Aids Resource Center of Wisconsin and the City of Milwaukee Health Department are the lead agencies in reducing the incidence of sexually transmitted diseases in the community.INFANT MORTALITY: Mortality rate in Milwaukee is 8.1 per 1,000 live births. For African Americans the rate is 13.9 and in Wisconsin is 5.7 per 1,000 births. Explanation: The United Way of Greater Milwaukee, the University of Wisconsin LifeCourse Initiative and the City of Milwaukee Health Department are actively involved in addressing this need.HEALTH LITERACY & NAVIGATION (Health Care Access): In Milwaukee County, 20% of adults reported poor health. 11% reported having unmet medical needs. Explanation: The Milwaukee Health Care Partnership, the United Way of Greater Milwaukee, Community Advocates, Milwaukee AHEC and a number of other community organizations are working to increase awareness of health services and health seeking behaviors among low income individuals.
Part V, Line 13b - Criteria For Providing Discounted Care If Not FPG	In alignment with the Froedtert Health financial assistance policy FMLH reserves the right to review each application for financial assistance on its own merits and to consider other extenuating circumstances in the decision to approve or deny a patient's application for financial assistance. The applicant's gross family income will be determined using Modified Adjusted Gross Income (MAGI). Modified Adjusted Gross Income includes both earned income and passive income received and compared to the annual Federal Poverty guidelines set forth by the U.S. Department of Health and Human Services. A patient who has an annual gross income equal to or less than 400% of the current year's poverty guidelines will not pay more than 15% of their annual gross income on any single account during the approved eligibility timeframe. Patients who meet the requirements and have a gross income equal or less than 250% of the FPL may qualify for a 100% discount. Patients who meet the requirements and have a gross income between 250% and 400% of the FPL may qualify for a discount on a sliding scale. In addition to income, FMLH also takes certain assets into consideration. Assets protected from financial evaluation include a household's retirement assets, home equity, and a portion of cash and savings assets.
Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients	Out of Pocket Maximum Discount
Part V, Line 20e - Other Actions Took Before Any Collection Actions	We request additional documentation when an individual has submitted an incomplete financial assistance application.

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)	In alignment with the Froedtert Health, Inc. financial assistance policy Froedtert Memorial Lutheran Hospital reserves the right to review each application for financial assistance on its own merits and to consider other extenuating circumstances in the decision to approve or deny a patient's application for financial assistance. The applicant's gross family income will be compared to the annual Federal Poverty guidelines set forth by the U.S. Department of Health and Human Services. A patient who has an annual gross income equal to or less than 400% of the current year's poverty guidelines will not pay more than 15% of their annual gross income on any single account during the approved eligibility timeframe. Patients who meet the requirements and have a gross income equal or less than 250% of the FPG may qualify for a 100% discount. Patients who meet the requirements and have a gross income between 250% and 400% of the FPG may qualify for a discount on a sliding scale. In addition to income, Froedtert Hospital also takes certain assets into consideration. Assets protected from financial evaluation include a portion of a household's retirement assets, cash, savings assets and home equity.
Part I, Line 6a - Related Organization Community Benefit Report	FMLH produces an annual report to the community highlighting community benefit programs, patient impact stories and investments in the communities we serve. The report will be mailed, as in years previous, to partners in our Community, FMLH Leaders, FMLH Board of Directors, elected officials, business leaders and other community members. A copy of the report will be available on http://www.froedtert.com/community-benefit
Part I, Line 7 - Explanation of Costing Methodology	Charity Care and certain other community benefits costs were determined by using internal information to reduce the various activities to cost. Froedtert Memorial Lutheran Hospital reports accounts receivable for services rendered at net realizable amounts from third-party payers, patients, and others. Froedtert Memorial Lutheran Hospital provides an allowance for uncollectible accounts based upon a review of outstanding receivables, historical collection information, and existing economic conditions and trends.As a not-for-profit, emergency medical care and other medically necessary care is provided to all, regardless of ability to pay for that care. Making quality patient care available to all in our community, regardless of their economic means, qualifies bad debts as a community benefit.
Part I, Line 7, Column F - Explanation of Bad Debt Expense	Our total expense from Form 990, Part IX, line 25, column (A) was $1,589,509,464. Bad debt expense is included in Form 990,Part VIII, lines 2a, 2b and 2d as required by ASU 2011-07, Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities. Therefore bad debt expense is not included on Part IX, Statement of Functional Expenses, Line 25, column (A).
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	Bad debt expense in Part III, Line 2 is the amount recorded in FMLH Statement of Operations. FMLH provides an allowance for uncollectible accounts based upon a review of outstanding receivables, historical collection information, and existing economic conditions and trends.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit	The financial assistance policy allows for accounts in bad debt to be approved for financial assistance if the patient meets the criteria. There are possible financial assistance accounts in bad debt, although the exact percentage is unknown as we do not have the appropriate tools to determine this percentage accurately.
Part III, Line 4 - Bad Debt Expense	Patients accounts receivable are reduced by an allowance for uncollectible accounts. In evaluating the collectability of patients accounts receivable, Froedtert Health, Inc. (FH) analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for uncollectible accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, FH analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), FH records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.FH recognizes patient service revenue associated with services provided to patients who have third-party payor coverage on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for charity care, FH recognizes revenue on the basis of its standard rates for services provided (or on the basis of discounted rates, if negotiated or provided by policy). On the basis of historical experience, a significant portion of FHs uninsured patients will be unable or unwilling to pay for the services provided. Thus, FH records a significant provision for bad debts related to uninsured patients in the period the services are provided.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	Froedtert Memorial Lutheran Hospital does not limit the care available to any patients, including those covered by Medicare. Froedtert Memorial Lutheran Hospital receives Medicare reimbursement intended to cover care for the medically indigent patients reflected in Part I.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	FMLH informs and educates patients regarding financial assistance and government program eligibility in a number of ways. Its communication efforts also address special needs of patients and their families, such as hearing or visual impairment or language interpretation.Information on hospital-based financial support policies and government programs are made available to patients during the pre-registration and registration processes through brochures, signage and direct contact with financial counselors, social workers / case managers and registration staff. Patient billing statements also inform patients that financial assistance is available. The Froedtert Health, Inc. website contains information regarding pricing, how to understand your hospital bill, and how to apply for Financial Assistance. FMLH has made financial assistance forms and information available in Spanish. Financial counselors screen uninsured patients for government program eligibility and social services staff are available to assist patients with enrollment processes. Patients who are uninsured, those covered by government programs and those with limited financial means may also be eligible for charity care or discounts through the FMLH's financial assistance program. Financial counselors make every effort to determine a patient's eligibility prior to or at the time of admission or service. However, determination for financial assistance can be made during any stage of the patient's stay after stabilization, or the collection cycle.
Part VI, Line 2 - Needs Assessment	Froedtert &The Medical College of Wisconsin is a member of the Milwaukee Health Care Partnership www.mkehcp.org, a public-private consortium dedicated to improving care for underserved populations in Milwaukee County. Through the Partnership, Milwaukees five health systems and the Milwaukee Health Department aligned resources to complete a shared community health needs assessment (CHNA) for FY 2017. Supported by additional analysis from the Center for Urban Population Health, this community-wide CHNA includes findings from a community health survey of over 2,000 adults, 41 key informant interviews, four focus groups and a secondary source data analysis. This shared CHNA serves as the foundation for Froedtert Hospitals implementation strategy to improve health outcomes and reduce disparities in Milwaukee County.Milwaukee County: Aurora Health SystemChildrens Hospital of WisconsinFroedtert & The Medical College of WisconsinAscension Health SystemCenter for Urban Population HealthMilwaukee County Health DepartmentCity of Milwaukee Health DepartmentWauwatosa Health DepartmentJKV Research was hired by the participating Health Care Systems and Health Departments to lead the CHNA process for Milwaukee County. The total cost of each CHNA was shared by each of the participating health systems and health departments. Each health system and health department was assigned to conduct key informant interviews within their service area.CHNA Overview/Objectives Gather specific data on behavioral and lifestyle habits of the adult population. Gather data on the prevalence of risk factors and disease conditions existing within the adult population. Compare health data of residents to previous health studies. Compare, where appropriate and available, health data of residents to national and state measurements. CHNA Methodology: 1,976 telephone interviews completed between March 16 and July 14, 2015. Two-fold Sampling 1) A random-digit-dial landline sample of telephone numbers which included listed and unlisted numbers. The respondent within each household was randomly selected by computer based on the number of adults in the household (n=1,292). 2) A cell phone-only sample where the person answering the phone was selected as the respondent (n=675). At least 8 attempts were made to contact a respondent in both samples. Screener questions verifying location were included. All data post-stratified by age and gender of adult residents as of 2010 census proportions. Margin of error: 2%
Part VI, Line 3 - Patient Education of Eligibility for Assistance	Froedtert Memorial Lutheran Hospital informs and educates patients regarding financial assistance and government program eligibility in a number of ways. Its communication efforts also address special needs of patients and their families, such as hearing or visual impairment or language interpretation.Information on hospital-based financial support policies and government programs are made available to patients during the pre-registration and registration processes through brochures, signage and direct contact with financial counselors, social workers / case managers and registration staff. Patient billing statements also inform patients that financial assistance is available. The Froedtert Health, Inc. website contains information regarding pricing, how to understand your hospital bill, and how to apply for Financial Assistance. Froedtert Memorial Lutheran Hospital has made financial assistance forms and information available in Spanish. Financial counselors screen uninsured patients for government program eligibility and social services staff are available to assist patients with enrollment processes. Patients who are uninsured, those covered by government programs and those with limited financial means may also be eligible for charity care or discounts through the Froedtert Memorial Lutheran Hospital's financial assistance program. Financial counselors make every effort to determine a patient's eligibility prior to or at the time of admission or service. However, determination for financial assistance can be made during any stage of the patient's stay after stabilization, or the collection cycle.
Part VI, Line 4 - Community Information	Since 1980 Froedtert & The Medical College of Wisconsin has been part of a critical initiative to improve the health of our Community. As the regions Academic Medical Center and only Level I Trauma Center, F&MCWs primary service area is comprised of five counties: Ozaukee, Milwaukee, Waukesha, Washington and Racine. Community Memorial and St. Josephs hospital, part of the Froedtert Health System, are able to care for individuals within the Waukesha and Washington County areas relying on Froedtert Hospital for higher acuity care. Froedtert Hospital focuses on urban, low income, uninsured and medically underserved populations, most of whom reside in Milwaukee County, which comprises the largest concentration of zip codes with the highest needs. As such, Froedtert & The Medical College has made concerted efforts to begin focus on those neighborhoods in our back yard: Wauwatosa and Washington Park.In partnership with Progressive Community Health Centers, Froedtert Hospital has invested a place-based health improvement strategy in this neighborhood for ten years. Part of the urban poverty corridor, this neighborhood is home to a large vulnerable population, as well as a number of valuable community assets to address the social determinants of health.Located in the City of Wauwatosa, Froedtert has a strong relationship with the local health department and other community organizations that are working to improve health and quality of life. Froedtert & the Medical College of Wisconsin DemographicsHousehold Income CY17 Primary Service Area Secondary Service AreaUnder $24,999....................21.43%..............19.97%$25,000-$49,999..................22.53%..............23.98%$50,000-$99,999..................32.22%..............36.30%$100,000 and up..................23.82%..............19.75%Total Households................728,003............239,467Source: DataBayRace CY17 Primary Service Area Secondary Service AreaWhite............................73.49%.................88.27%African American.................15.74%..................3.30%Asian/Hawaiian/Pacific Islander..................3.38%..................2.08%Native American...................0.57%...................0.46%Two or more races.................2.64%...................2.16%Other.............................4.18%...................3.73%Hispanic..........................10.66%..................9.27%Total Population................1,824,926..............617,378Source: DataBayPayer Source FY17 Primary Service Area Secondary Service AreaCommercial/Managed Care...........27.38%.................32.69%Medicaid..........................20.22%.................13.77%Medicare..........................50.06%.................50.69%Other Government..................0.39%...................0.91%Other/Self Pay....................1.95%...................1.93%Source: DataBayPayer Source FY18Q3 Primary Service Area Secondary Service AreaCommercial/Managed Care...........26.21%.................31.70%Medicaid..........................19.67%.................12.84%Medicare..........................51.14%.................51.99%Other Government..................0.90%...................1.16%Other/Self Pay....................2.09%...................2.31%Source: DataBay
Part VI, Line 4 - Community Building Activities	To promote the health of our communities, Froedtert Hospital participates in numerous community building activities that are not included in Part I of Schedule H. There activities include:1. Community support: Participation in local emergency preparedness and contributions to public safety programs to increase safe neighborhoods.2. Coalition building: funding of the Milwaukee Healthcare Partnership, a public/private partnership working to expand coverage, access and care coordination for Milwaukees uninsured and underinsured populations.3. Workforce development: support for diversity recruitment as well as career development programs with local schools in order to train the next generation of medical and working professionals in our local area.
Part VI, Line 5 - Promotion of Community Health	Community Engagement proactively addresses the social, cultural and economic determinants that underpin health and seeks to build partnerships with others to find solutions. Froedtert & the Medical College of Wisconsin are committed to making a positive, sustained difference in our community. Community Engagement will strengthen the economic vitality and quality of life of those communities we serve. Froedtert Hospitals Community Benefit programming and health improvement activities are supported through staff resources, budgeted dollars for programming and community partnerships. Center for Health Care CareersThe mission of the Center for Healthcare Careers of Southeast Wisconsin is to unite all appropriate stakeholders in a viable, flexible structure to locate, educate and support a workforce from service to professional levels in the healthcare industry in SE Wisconsin with a vision to create a supply of fully skilled and capable individuals prepared to meet the current and future needs of the healthcare field from entry-level to professional skilled-level roles.Community Health Education ProgramsFroedtert Hospital regularly schedules educational classes, workshops and screenings for the community. The services offered are readily accessible to the general public and are free of charge. These programs provide information on a variety of health concerns including chronic disease prevention/management and updates on the newest medical technology and medical research. In FY18, 149 Community Health Education Classes and 2,705 people were served. Additionally, Froedtert & The Medical College of Wisconsin offers a speakers bureau that is a free service to the community. Froedtert & The Medical College of Wisconsin Community Conference Center The Community Conference Center offers a community health education center that is available for community and support groups at no cost. Froedtert Hospital sponsors more than 50 support groups and 6,591 people were served. The CCC provides meeting space for a variety of community events. Its wide variety of programs, activities, equipment and services provide the tools needed for the health and wellness of families in our communities. Milwaukee Health Care PartnershipFroedtert Hospital is an active member of the Milwaukee Health Care Partnership, a public private consortium dedicated to improving care for underserved populations in Milwaukee County. The Partnership includes the four Milwaukee-based health systems, four Federally Qualified Health Centers (FQHCs), the Medical College of Wisconsin; Milwaukees and the city, county and state health departments. Froedtert Hospital financially supports MHCP through its membership fees in the amount of $110,000. Health Professionals/Academic Medical Center:In partnership with the Medical College of Wisconsin, Froedtert Hospital provides medical resident opportunities for 902 physicians in residency and fellowship training programs where they can learn from expert faculty and have access to leading-edge resources. As the only Academic Medical Center in south eastern Wisconsin, Froedtert & The Medical College of Wisconsin provides internship and preceptor program guidance and training to over 1580 students in the following areas: Allied Health, Pharmacy, Nuclear Medicine, and Registered Nursing (including Advanced Practice). Froedtert & The Medical College of Wisconsin also has its own School of Radiology, a two-year program. In fiscal year 2018, 31 radiology technicians continued their education through this program.Medical Transportation Program:The Medical Transportation Program at Froedtert Hospital is a direct line budgeted program which provides transportation to and from the outpatient locations for eligible persons (250% federal poverty level or below) who have difficulty arranging their own transportation and lack the financial resources to purchase transportation. Froedtert Hospital Social Services department provided approximately $51,805 for 1,596 Ambulance, Cab and Bus transportation services in fiscal year 2018.ACA Insurance Marketplace and Enrollment Assistance:Froedtert Health (parent company of Froedtert Hospital) recognized the need to help individuals navigate the new choices available to them through the Affordable Care Acts Insurance Marketplace and Medicaid reforms. Our network of certified application counselors answered more than 8,987 phone calls, and helped enroll individuals in the Health Insurance Marketplace, part of Affordable Care Act. A reduction in phone calls and enrollment assistance was reflective of demonstrating individuals understanding on how to enroll in marketplace, after a few years of being in place and consistent education and enrollment assistance with the Froedtert Health enterprise. However, given the new landscape we are seeing inquiries increase again. Additionally, Froedtert Health collaborated with the Milwaukee Enrollment Network, which represented health systems, free clinics, health departments and other non-profit organizations to reach out to people throughout Milwaukee, Washington and Waukesha Counties in securing adequate and affordable health insurance. United Way Employee Giving Campaign:Froedtert Hospital collaborates with the United Way of Greater Milwaukee to address basic needs in the community, developing self-reliance, strengthening communities and its support. Froedtert Hospital hosts an annual workplace giving campaign to support all the local United Ways. In FY18 $489,061 in direct employee donations that includes FH corporate match of $64,072 that is restricted for United Way of Greater Milwaukee and Waukesha County. Bradley Tech Terns:Through a unique two-year program called tech terns 15 students from Bradley Tech high School in Milwaukee finished learning about building design, construction and health care operation in the classroom and on-site of a major construction project at Froedtert hospital. The program leads believe this is a first such career pathway development program in the country. Experts in the field develop the curriculum for each quarters visit, coordinating classroom work with the progress of the building. The students in the FY2018 cohort, had opportunities to assist in construction of the hospitals new surgical department. They also had an introduction to health care careers alongside the introduction to construction jobs. Healthcare departments engaged in meeting with students included; surgery department, radiology department, emergency department, ICU department, biomedical department, sterile processing department, surgery equipment representative. Staff roles included; nurses, radiology technician, physicians, surgical technicians, bio medical technicians, sterile processing technicians. All staff volunteered their time to meet, talk, and engage students in a variety of health care careers. Implementation Planning ProcessUnder the direction of the Community Engagement Leadership Team and a trained meeting facilitator; the planning process included five steps in developing the Implementation Plan:1. Reviewed the Community Health Needs Assessment results for identification and prioritization of community health needs2. Reviewed previous implementation plan programs and results3. Reviewed current hospital and community health improvement initiatives and strategies4. Ranked and selected priority areas5. Selected evidence-based strategies, partnerships and programs to address community health needsAfter several facilitated workout sessions in January 2016 - March 2016, findings from the assessment were categorized into 9 areas: Mental Health, Chronic Disease Management, Access to Care, Injury and Violence Prevention, Physical Activity and Nutrition, Alcohol and Other Drug Abuse (AODA), Cancer Prevention, Teen Pregnancy, and Infectious Disease. To identify the top ranked priorities, members of the advisory committee were asked to rate each priority based on the following criteria: feasibility of Froedtert Hospital to address the need (direct programs, clinical strengths, and dedicated resources), and achievable measurable outcomes. Of those ten health needs categories, four overarching themes were identified as the focus for Froedtert & Medical College of Wisconsin Implementation Plan for fiscal 2017-2019: Chronic Disease Management Injury & Violence Access to Care and Navigation Behavioral Health
Part VI, Line 6 - Affilated Health Care System	AFFILIATED HEALTH CARE SYSTEM: Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma Center at Froedtert Hospital, Milwaukee, an internationally recognized training and research center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes five hospitals, more than 1,600 physicians and nearly 40 health centers and clinics, draws patients from throughout the Midwest and the nation.Froedtert, Community Memorial and St. Josephs Hospitals made significant investments in the health of their communities. Individuals who couldnt pay for their medical care received more than $122 million in uncompensated care. Beyond providing care for the most uninsured/underinsured patients, we contributed $116.7 million to improve access to care, teach future healthcare professionals, develop new medical therapies, community grants and participate in local partnerships aimed at reducing health disparities.Froedtert Health members develop community benefit strategies and goals based on the unique needs of each of their communities. By conducting regular community needs assessments that monitor critical public health issues, and actively seeking community input, the hospitals have built important local relationships that provide meaningful outreach programs that link each hospital to their neighbors and individuals. As a not-for-profit health system, Froedtert Health reinvests its surplus funds back into the community through programs to serve the poor and uninsured, teach future healthcare professionals, develop new medical therapies, manage chronic conditions like diabetes, health education and promotion initiatives, and participate in local partnerships aimed at reducing health disparities. For more information about Froedtert Health, visit www.froedtert.comPROMOTION OF COMMNITY HEALTH:Community Health Improvement Advisory Committee (CHIAC) With particular expertise in public health, population health, wellness and process improvement, the members of this committee provide guidance to Froedtert Hospitals community benefit plan for the development and monitoring of the Implementation Strategy. Members include:MCW Faculty, Progressive Community Health Center, Executive and VP leadership at Froedtert Hospital, Wauwatosa Health Department, Outreach Community Health Center, Milwaukee Muslim Womens Coalition, Milwaukee County Department on Aging, Milwaukee Achiever Literacy Services, Core/El Centro, Christ the King Baptist Church, Milwaukee County Sheriffs Department, Independence First, American Heart Association.The responsibilities of the Community Health Improvement Advisory Committee include: Support the mission of Froedtert Hospital and the health system. Be an advocate for community health improvement. Contribute talents and resources to reduce health disparities. Review the community health needs assessment. Provide feedback and input into the development of the implementation strategy and priorities. Serve as an advisory body to the Community Engagement Department and the hospital to assure that our services are accessible and culturally appropriate. Serve as a conduit for your constituent members, communities and neighborhoods about emerging health needs and concerns.Board of Directors:The Board of Directors is made up of medical and business professionals, all of whom reside in the hospital's primary service area. They are dedicated to leveraging the benefits of our community-academic mission and focus on research. They value the unique character and needs of the individuals and communities we serve and the physicians who provide specialty care. Froedtert Hospitals Board of Directors demonstrates our commitment to quality and service while managing costs. The Board of Directors will provide annual review, guidance and ultimately adopt the Implementation Plan and CHNA Strategy.
Part VI, Line 7 - States Filing of Community Benefit Report	WI
Part V - Explanation of Number of Facility Type	Froedtert Memorial Lutheran Hospital is the only facility listed under this reporting of the IRS Form 990, Schedule H.
Part VI - Additional Information	Schedule H, Part V, Section B, Line 10aThe Community Health Implementation Plan is housed on the Community Engagement webpage: http://www.froedtert.com/upload/docs/giving/community-benefit/community-health-improvement-plan-fmlh.pdf

Schedule H (Form 990) 2019

Additional Data

Software ID:	17005038
Software Version:	2017v2.2

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

FROEDTERT MEMORIAL LUTHERAN HOSPITAL
INC

Employer identification number

39-6105970

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Bechtel Kathleen Dir&VP Pt Care	(i) (ii)	305,511 -------------	77,562 -------------	40,102 -------------	45,598 -------------	23,030 -------------	491,803 -------------	35,746 -------------
2Behrens Elizabeth VP Quality/Pt Safe	(i) (ii)	255,426 -------------	64,947 -------------	4,356 -------------	40,040 -------------	21,656 -------------	386,425 -------------	-------------
3Buck Catherine J Dir&FMLH Pres	(i) (ii)	586,877 -------------	593,530 -------------	23,947 -------------	19,554 -------------	32,402 -------------	1,256,310 -------------	-------------
4Ceelen John Treasurer	(i) (ii)	------------- 391,618	------------- 134,477	------------- 19,690	------------- 89,990	------------- 33,650	------------- 669,425	-------------
5Colpaert Gary VP-Clinical&Supp	(i) (ii)	232,252 -------------	58,627 -------------	22,338 -------------	38,621 -------------	11,760 -------------	363,598 -------------	18,880 -------------
6Eastham Catherine M Former - Officer (Secr)	(i) (ii)	------------- 232,152	------------- 103,042	------------- 632,549	------------- 65,397	------------- 23,626	------------- 1,056,766	------------- 451,588
7Gray D Allan VP Periop Svc	(i) (ii)	261,876 -------------	93,921 -------------	11,621 -------------	7,950 -------------	24,161 -------------	399,529 -------------	-------------
8Hawig Scott Former - Officer (CFO)	(i) (ii)	------------- 604,376	------------- 485,654	------------- 144,438	------------- 140,011	------------- 31,320	------------- 1,405,799	------------- 125,298
9Jacobson Catherine A Dir&FH Pres/CEO	(i) (ii)	------------- 1,219,514	------------- 1,192,370	------------- 280,858	------------- 320,506	------------- 33,369	------------- 3,046,617	------------- 279,340
10Leevan Yakira CRNA-Anesthesia	(i) (ii)	174,372 -------------	135,174 -------------	1,166 -------------	13,350 -------------	28,386 -------------	352,448 -------------	-------------
11McPike Linda BOD Secretary	(i) (ii)	------------- 240,938	------------- 34,805	------------- 1,885	------------- 15,252	------------- 6,970	------------- 299,850	-------------
12Stulac Motzel Wendy VP-Ambulatory Svc	(i) (ii)	270,236 -------------	69,052 -------------	1,518 -------------	42,207 -------------	28,226 -------------	411,239 -------------	-------------
13VanDeKreeke Jeffrey Former - Officer (Treas)	(i) (ii)	------------- 333,669	------------- 88,621	------------- 89,517	------------- 68,980	------------- 14,606	------------- 595,393	------------- 67,190

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

Part I, Line 1a: Relevant information in regards to selections on 1a.

Social club dues:Buck, Catherine - $120Colpaert, Gary - $120Gray, D Allan - $120Leevan, Yakira - $120

Part III, Additional Information

Part I, Line 7: Bonus compensation is paid based upon attainment of specific goals related to the organization's service, quality, and financial strength. The amount of compensation is calculated using specified percentages of base salary for achievement of particular goal levels. However, the Froedtert Health System Board Committee which administers the bonus compensation program has discretion over whether to pay the bonus in any given year or to amend, change, or terminate the program at any time.Part II, Column (B)(ii): Bonus and incentive compensation amounts include incentive compensation and amounts paid to individuals in lieu of participation in 457(f) deferred compensation plan.

Schedule J (Form 990) 2019

Additional Data

Software ID:	17005038
Software Version:	2017v2.2

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

FROEDTERT MEMORIAL LUTHERAN HOSPITAL
INC

Employer identification number

39-6105970

Return Reference	Explanation
Form 990, Part III, Line 4d: Other Program Services Description	OTHER PROGRAM SERVICES 4: Medical Education - See Schedule O
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	Kathleen Bechtel, Catherine Buck, Linda McPike, John Ceelan, Scott Hawig and Catherine A Jacobson - business relationshipCatherine A Jacobson & Scott Hawig - business relationship
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	Froedtert Health, Inc. is the sole corporate member of Froedtert Memorial Lutheran Hospital, Inc.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	Froedtert Health, Inc., as the sole corporate member of Froedtert Memorial Lutheran Hospital, Inc. has the final approval of election of all board members.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	Frodtert Health, Inc., as the sole corporate member of Froedtert Memorial Lutheran Hospital, has certain reserved powers and authorities with respect to the operations and management of Froedtert Memorial Lutheran Hospital, as set forth in Froedtert Memorial Lutheran Hospital's bylaws.
Form 990, Part VI, Line 11b: Form 990 Review Process	Froedtert Health, Inc. accounting staff prepare Form 990 which is reviewed by Froedtert Health, Inc.'s financial leaders. The 990 is then reviewed by KPMG, Froedtert Health Inc.'s outside accounting firm. Next, the 990 is provided to the Froedtert Health Inc. Finance Committee and Board of Directors. Finally, the 990 is filed as required.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	On an annual basis all officers, directors, trustees, and key employees are required to complete a conflict of interest disclosure statement. The data is compiled, and the Froedtert Health, Inc. Vice President-Chief Compliance Officer (CCO), the Senior Vice-President-General Counsel and/or delegate will review all forms and notifications to determine if any conflicts of interest exist in the disclosure documents. If it is determined that a conflict of interest exists, then the individual making the disclosure shall be relieved of his/her obligations on behalf of Froedtert Memorial Lutheran Hospital with respect to the transaction or arrangement that creates the conflict of interest. A report of all conflicts of interest will be made by the CCO at least annually to the Froedtert Health, Inc. Finance Committee of the Board of Directors.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	Compensation of Top Management is paid by a related organization but a review is performed. In establishing the compensation of the organization's Top Management, independent compensation consultants are utilized, compensation studies are completed to gather comparative data, persons with a conflict of interest regarding the compensation arrangements at issue are not involved in the decision making process, and amounts are reviewed and approved by the Compensation Committee of the Froedtert Health, Inc. (the related parent organization) Board of Directors.In addition, there is contemporaneous documentation and recordkeeping for deliberations and decisions regarding the compensation arrangements.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	Compensation of several Officers is paid by a related organization but a review is performed. In establishing the compensation of the organization's Officers, independent compensation consultants are utilized, compensation studies are completed to gather comparative data, persons with a conflict of interest regarding the compensation arrangements at issue are not involved in the decision making process, and amounts are reviewed and approved by the Compensation Committee of the Froedtert Health, Inc. (the related organization) Board of Directors.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Froedtert Health, Inc.'s quarterly financial information is made available to the public online through the Digital Assurance Corporation, Inc. website. Anyone can register to receive ongoing access to and notifications regarding financial statements at the online website.Additionally, Governing Documents and Conflict of Interest Policy are made available to the public through the corporate office upon request.
Other Changes In Net Assets Or Fund Balances - Other Increases	Change in APB other than net periodic benefit costs = $2242273
Other Changes In Net Assets Or Fund Balances - Other Increases	Change in beneficial interest in foundations = $59094
Other Changes In Net Assets Or Fund Balances - Other Decreases	Elimination of investment in ambulatory surgery center = -$6043901
Other Changes In Net Assets Or Fund Balances - Other Decreases	Froedtert Hospital Foundation Contributions = -$1929241
Other Changes In Net Assets Or Fund Balances - Other Increases	Other - FH F Asset transfers = $219889
Other Changes In Net Assets Or Fund Balances - Other Increases	Other - FH Volunteers dissolution = $266123
Other Changes In Net Assets Or Fund Balances - Other Decreases	Rounding = -$2
Other Changes In Net Assets Or Fund Balances - Other Decreases	Transfer to affiliates = -$59024690
Part III 4a INPATIENT SERVICES	Inpatient: FMLH is the only academic medical center in eastern Wisconsin and one of approximately 120 nationwide. FMLH is dedicated to excellence in patient care, research, and medical education which has benefited patients, health care professionals and the region since 1980. We operate eastern Wisconsin's only adult Level I Trauma Center. It is a major training and research center engaged in thousands of clinical trials and studies. FMLH is approved for 655 beds of which 604 are staffed with 31,234 patient admissions and 175,817 patient days of care related to medical, surgical, intensive care, obstetrics, rehabilitation and other specialty care for the twelve months ended June 30, 2018.OTHER ACHEIVEMENTS:2018-19 US News & World Reports Best Hospital list. FMLH ranked nationally in three specialties: nephrology, pulmonology, and ear, nose and throat care. This places us among the top 50 US hospitals in these areas.2017-18 US News & World Report recognized FMLH as high performing in five specialties: cancer; urology; geriatrics;, gastroenterology and GI surgery; and neurology and neurosurgery.2017/2018 Consumer Loyalty Aware from NRC Health. This award recognizes hospitals across the country that garner extraordinary loyalty from their patients. Winners were selected based on results from NRC Healths Market Insights survey, the largest database of health care consumer responses in the country.2018 spring report of an A grade from The Leapfrog Group. Leapfrogs biannual safety ranking evaluates more than 2,500 hospitals nationwide, assigning A,B,C,D and F letter grades based on a hospitals performance in areas such as infection rates, mortality and errors.2017 Beckers Hospital Review named Froedtert Hospital to its list of Great Hospitals in America. It also named Froedtert Hospital to its 2017 list of Top 100 Hospitals and Health Systems with Great Neurosurgery and Spine Programs. Recognized as a Leader in LGBTQ Healthcare Equality by the Human Rights Campaign Foundation. This is for protecting our LGBTQ patients and employees from discrimination, ensuring equal visitation for the LGBTQ people and providing staff training in LGBTQ patient-centered care.Recognized as a Patient Financial Communications Best Practice Adopter by the Healthcare Financial Management Association (HFMA). This is for following best practices when we interact with patients regarding financial issues such as billing, payment arrangements and insurance coverage.Recognized as a Diagnostic Imaging Center of Excellence (DICOE) by the American College of Radiology. As a DICOE facility, patients receive the highest levels of imaging quality, safety, and care. This achievement goes beyond accreditation to recognize the best in quality imaging practices and diagnostic are. Recognized for its Get With the Guidelines Heart Failure Gold Plus Award by the American Heart Association. Energy Star Certified by the U.S. Environmental Protection Agency for superior energy performance. Froedtert Hospital reduced its energy consumption per square foot by more than 30% since 2009. Energy Star is the only energy efficiency certification in the U.S. that is based on actual, verified energy performance.Most of the services provided by FMLH are tertiary or quaternary care services and include the following:(Continued)
Part III 4a INPATIENT SERVICES - Neurosciences	Neurosciences Center. The Center at FMLH is a world-class resource for individuals with complex neurological disorders. Combining specialty expertise, state-of-the-science technology and consistent research leadership, the center provides comprehensive services for movement disorders, stroke, brain injury, spine care, and epilepsy as well as a number of other neurological disorders. We offer the only dedicated Neuro-Intensive Care Unit in Wisconsin, staffed by full time fellowship-trained neuro-intensivists, and a 6 bed long-term monitoring unit for patients with epilepsy. STROKE: FMLH was the first in the state and among the first in the nation to receive certification as a Primary Stroke Center by the Joint Commission and was the first in southeast Wisconsin to achieve Comprehensive Stroke Center accreditation. The Stroke program demonstrates its ability to provide care from a multi-disciplinary team. The team includes neurologists, neuro-interventionalists, emergency department specialists, radiologists, neurosurgeons, nurses, therapists, pharmacists, and technicians working in a coordinated, collaborative system. We consistently exceed national standards of care for stroke established by the Joint Commission and Vizient consortium and consistently achieve recognition from the American Stroke Association on an annual basis. As a regional leader, we offer the most comprehensive and advanced care by the 24 hour a day Acute Stroke Team. SPINECARE: Our SpineCare program offers multi-disciplinary, operative and non-operative care for patients with spinal trauma, degenerative diseases of the spine, spinal tumors, and back pain. We have a team of back and neck experts working together in each location. The team is made up of some of the area's leading neurological and orthopaedic surgeons. Our staff includes well-regarded physical medicine and rehabilitation specialists, neurologists, chiropractic physicians, pain psychologists, spine-trained nurse practitioners and physician assistants as well as outstanding physical and occupational therapists.EPILEPSY: The Comprehensive Epilepsy Program is one of only a few programs in the country providing comprehensive, individualized care for people with epilepsy. It is a Level 4 Epilepsy Center, the highest ranking by the National Association of Epilepsy Centers. It serves as a regional or national referral facility and offers: -Complete evaluation for epilepsy-More complex forms of intensive neurodiagnostic monitoring-More extensive medical, neuropsychological and psychosocial treatment-Broad range of surgical procedures, including intracranial electrodes and responsive neuromodulationThe comprehensive Epilepsy Program is the first and only in the area to offer a new epilepsy neuromodulation treatment - the RNS System.HEADACHE: Froedtert Hospital takes a multidisciplinary team approach to examine the reasons for your headaches. Through medicine and lifestyle adjustments, we work with you to find the best answers. Looking at all angles, our multidisciplinary approach is an effective way to achieve positive results over time. F&MCW has developed a Headache School, which is a program made up of 20 modules designed to help people with severe headaches be an active partner in their plan of care. MEMORY DISORDERS: Our program provides comprehensive care to patients and families living with dementia or other memory disorders. An expert multidisciplinary team is made up of neurologists, geropsychiatrist, neurophyschologists, nurses and a social worker. They are experienced in diagnosing and treating all types of memory disorders. The team is committed to:- Identifying memory disorders early through a comprehensive diagnostic assessment- Offering the latest treatments- Educating patients and their families- Providing coping skills and counseling for families- Conducting research to find ways to prevent, better diagnose and treat memory disorders.PARKINSONS: Patients with Parkinson's disease or movement disorders receive comprehensive care through the Parkinson's and Movement Disorders Program. For the most complex to the most common movement disorders, our knowledgeable and experienced team offers the full range of leading-edge diagnostic and treatment choices, many found only at an academic medical center. We're one of the longest-standing providers in the area offering patients unique advantages such as:-Board-certified physicians who are specialists in Parkinson's disease and movement disorders- Innovative technology & treatment options such as deep brain stimulation (DBS)- Individualized, coordinated care with active involvement of the patient and family members in treatment planning- Active involvement of the patient and family members in treatment planning.- An academic medical center setting where patients benefit as soon as possible from research advancements related to treatment of movement disorders.- Dedication to enhancing the quality of lifeAMYOTROPHIC LATERAL SCLEROSIS (ALS): Patients receive multidisciplinary care within the ALS Program. Although there is no cure for ALS, the program provides state-of-the-science diagnostic services and access to advanced drug therapies that may slow the progress of the disease's symptoms. The ALS Clinic is one of 52 clinics to be officially certified by the ALS Association in the United States.OTHER: Neurologists specialize in the diagnosis and treatment of peripheral nerve and muscle disorders, dementia, neuro-opthalmologic conditions, and demyelinating disorders. It offers multidisciplinary programs in Brain Injury, Spinal Cord Injury, Memory Disorders, MS, Spasticity, Headache and Neuro-oncology. The NeuroRehab program and Neuropsychology services are an integral part of all Neurosciences programs. In addition to the core programs noted above, the Neurosciences Center also provides care for patients with Autonomic Disorders and Neuromuscular Disorders. OTHER ACHEIVEMENTS:2018-19 US News & World Report High Performing Hospitals. They recognized FMLH as high performing in 11 types of care, including neurology and neurosurgery.
Part III 4a INPATIENT SERVICES - Cancer Center	Cancer Center. The Clinical Cancer Center offers comprehensive care for all types of cancer through 14 disease-specific, multidisciplinary cancer programs; support services ranging from laboratory and imaging to psychosocial and pastoral care; and research facilities and international cancer registries. Unique offerings in cancer center care include:- A Day Hospital which is open 365 days per year for outpatient chemotherapy infusion and supportive care- Outpatient Blood and Marrow Transplant (BMT)- Whole genome sequencing- Patient centered care model with advanced intake and coordination mechanisms- Renowned experts with specialty expertise- Academic medical center with wide range of clinical trials- Advanced technology (including Radixact and Icon for image guided for the Perfexion gamma Knife for radiation oncology treatments)- Single location for all cancer treatment needs- 24 hour cancer clinic, providing support for urgent cancer related concerns anytime of the day or night- Translation Research Unit offering the latest in oncology early-phase clinical trialsOur cancer network has six locations anchored by the power and unparalleled resources of eastern Wisconsins only academic medical center. FMLH is the first cancer treatment center in the world to offer a new precision medicine immunotherapy treatment option for patients who have certain non-Hodgkin lymphomas (B-cell). Our physicians are internationally recognized for their research and treating patients with innovative cellular therapies. FMLH is a leading center for HIPEC (Hyperthermic Intraperitioneal Chemotherapy) in the Midwest and the nation. HIPEC is a state-of-the-art procedure for treating cancers that have spread to the abdomen. This procedure offers a new treatment option even for people who have been told they have no options.In 2017, FMLH became the only cancer program in the Midwest and one of just seven in the world to begin testing the imaging portion of the MR guided linear accelerator technology. We participated in a global research team studying the advanced capabilities of MR-linac technology. This will help define the practical application of MR-Linac with the goal of improving outcomes of cancer patients treated with radiation therapy around the world.Accreditations:-2018-19 US News & World Report recognized FMLH as a high performing hospital in cancer, lung cancer surgery, and colon cancer surgery.- Accredited by the American College of Surgeons Commission on Cancer as an Academic Comprehensive Cancer Program. Accreditation at this level recognizes organizations that take a multidisciplinary approach to treating cancer and office, in addition to excellent clinical care, access to clinical trials and new treatments, genetic counseling, and comprehensive patient-centered services including psycho-social support, an individualized treatment navigation process and a survivorship care plan.- Since 2001, the Blood and Marrow Transplant Program has been accredited by the Foundation for Accreditation of Cellular Therapy (FACT). For patients, this measurement of quality and expertise provides the assurance that they are receiving high-quality transplant care and offers a way for them to compare different programs.- We are accredited by the Quality Oncology Practice Initiative (QOPI) of the American Society of Clinical Oncology (ASCO) which ensures adherence to national standards for the treatment of cancer patients with chemotherapeutic, immunologic and other agents.- The Breast Care Center is accredited by the National Accreditation Program for Breast Centers (NAPBC), which ensures the quality of services provided for breast health and the treatment of breast cancer.- The Breast Care Centers are recognized as Breast Imaging Centers of Excellence by the American College of Radiology. This means we are committed to fighting breast disease, maintain the highest standards for imaging quality and patient safety. We are accredited in mammography, stereotactic breast biopsy, breast ultrasound, and ultrasound-guided breast biopsy.Froedtert had 5,168 new cancer registry cases in FY2018.
Part III 4a INPATIENT SERVICES - Heart & Vascular	Heart and Vascular Center. The Heart and Vascular Center provides a complete range of specialized programs to diagnose and treat heart disease and vascular disease from the common to the complex. Our program offers a comprehensive array of services, including: wellness and preventive services, diagnostics, endovascular procedures, minimally invasive surgery, and surgical procedures. Our staff and physicians treat a wide range of heart and vascular conditions. Our physicians are highly skilled and experienced in treating heart and vascular disease and have access to state-of-the art technology enabling care across the continuum from prevention to complex interventions. Innovative programs include: Structural Heart including TAVR, Mitraclip and other novel percutaneous approaches to valvular disease, Robotic Mitral Valve Repair, Adult Congenital Heart Disease, Advanced Heart Failure & Cardiac Transplant, Aortic Disease, Arrhythmia & Atrial Fibrillation, Coronary Artery Disease, Hereditary Hemorrhagic Telangiectasia, Hypertrophic Cardiomyopathy, Preventive Cardiology & Lipid Therapy, Peripheral Arterial Disease, Pulmonary Hypertension, Valvular Disease, Venous & Vein Disease, Women & Heart Disease and Vascular and Cardiac Second Opinion Program. Care is provided in a number of outpatient areas and supported by inpatient care in the Cardiac Nursing Unit and Cardiovascular Intensive Care Unit. The Center is staffed by Cardiologists, Cardiac Surgeons, Vascular Surgeons and Interventional Radiologists as well as nursing and technical staff. Our Cardio-Oncology Program brings together a multidisciplinary team of specialists from our cardiovascular and cancer teams. Together, we provide patients who are at in increased risk for cardiovascular disease due to cancer treatment a comprehensive resource for prevention strategies and early-stage management. We develop personalized care plans prior to cancer treatment to manage cardiovascular risk without impacting the effectiveness of the patients cancer treatment regimen. The team includes specialists in cardiology, cardiac imaging, heart failure, electrophysiology, cardiothoracic surgery and cancer. As a part of the academic medical center, we participate in leading-edge cardio-oncology research to develop new methods for identifying patients at increased risk of developing cardiac events and researching strategies to decrease the risk during cancer care.Our Heart Disease in Pregnancy Program offers specialized care for women at high-risk for heart disease or those with preexisting cardiovascular condition before, during and after pregnancy. Our team includes experts in adult congenital heart disease, cardiology, maternal fetal medicine, obstetrics and anesthesiology. Multidisciplinary team conferences are held regularly to discuss patient care plans to ensure that patients are receiving the collective opinion of multiple specialists to determine the most effective treatment options. Some distinctions for our Heart and Vascular Center are as follows:-2017-18 The Best Doctors in America Many of FMLHs heart and vascular physicians are listed amount the 2017-2018 Best Doctors in America. This considered one of the more prestigious and credible tools available to consumers for selecting a doctor.2017-18 US News & World Report recognized FMLH as high performing in 6 adult procedures/conditions including: abdominal aortic aneurysm repair, heart bypass surgery, and heart failure.- FMLH was awarded the Gold Seal of Approval by The Joint for our Adult Ventricular Assist Device (VAD) Destination Therapy Program. We have one of the fastest growing advanced heart failure and VAD programs in the nation. Our success rate with the bridge approach is significantly higher than the national average. - Our Hereditary Hemorrhagic Telangiectasia Program is the only one in Wisconsin designated as a Center of Excellence by the HHT Foundation International, Inc., and one of only a few designated in the Midwest. Our HHT program follows international, evidence-based guidelines for screening and managing the disease. Our experienced, dedicated team offers a full spectrum of coordinated care, treating HHT as a chronic condition instead of an acute state.-Our Pulmonary Hypertension Program is one of only three adult programs in Wisconsin accredited as a Pulmonary Hypertension Care Center by the Pulmonary Hypertension Association. Our exceptional, board-certified physicians and other team members are dedicated to improving the quality of life for individuals affected by pulmonary hypertension in all of its forms.- The Heart and Vascular Centers at FMLH is designated as a Blue Distinction Center for Cardiac Care by Blue Cross Blue Shield. Recognized centers meet overall quality measures for patient safety and outcomes, developed with input from the medical community.- The echocardiography lab at FMLH received triple accreditation from the Intersocietal Accreditation Commission for Echocardiography Laboratories. The certification means the lab meets standards for transthoracic echo, stress echo and transesophageal echo procedures.- FMLH has received accreditation as a Chest Pain Center with Primary PCI and Resuscitation by the American College of Cardiology. This accreditation recognizes hospitals that demonstrate commitment to and utilization of evidence-based science, quality initiatives, ACC guidelines and clinical best-practices to produce the most effective care delivery model for Acute Coronary Syndrome patients. -The Vascular Lab at FMLH received accreditation from the Intersocietal Accreditation Commission for Vascular Testing. This accreditation notes the Vascular Lab meets standards for extracranial, intracranial, visceral vascular, peripheral aterial, and peripheral venous ultrasound imaging.- FMLH has earned the American Heart Association's Get with the Guidelines - Heart Failure Gold Plus award. This award is an advanced level of recognition acknowledging Froedtert for consistent compliance with Quality Measures for 24 or more consecutive months.FMLH is affiliated with the Cleveland Clinics Heart & Vascular Institute; which is ranked #1 in the nation for heart care since 1995 by the US News & World Report. With this affiliation, our patients benefit from:- Access to best practices that help make the Cleveland Clinics heart program #1 since 1995.- The ability to stay close to home while being treated by Froedtert's cardiac specialists who are collaborating with the Cleveland Clinic on the latest treatments available.- Many experts weighing in on the best treatment options for each individual case.
Part III 4a INPATIENT SERVICES - Pulmonary & Critcal Care	Pulmonary and Critical Care Medicine. Physicians in this division evaluate and treat people with a range of disorders including: asthma, chronic obstructive pulmonary disorder (COPD), cystic fibrosis, hereditary hemorrhagic telangiectasia, interstitial lung disease, lung cancer, pulmonary hypertension, respiratory insufficiency, sleep medicine and many others.A pulmonary function diagnostic laboratory provides complete services for evaluation, diagnostic and follow-up studies. FMLH has 5 intensive care units with 106 beds.** Interstitial Lung Disease ProgramOther achievements:- 2018-19 US News & World Report ranked FMLH nationally on their list for Best Hospital- Pulmonology.- 2018-19 US News & World Report ranked FMLH as High Performing Hospital COPD.- FMLH established a fully accredited adult cystic fibrosis center in 2003 by Cystic Fibrosis Foundation. It is one of the largest programs in Wisconsin for adults.- Our Pulmonary Hypertension Program was the first in Wisconsin accredited as a Pulmonary Hypertension Care Center by the Pulmonary Hypertension Association.- Our Hereditary Hemorrhagic Telangiectasia Program is the only one in Wisconsin designated a Center of Excellence by HHT Foundation International, Inc., and one of only a few designated in the Midwest.- Our health network in eastern Wisconsin is the only one to offer lung transplant.
Part III 4a INPATIENT SERVICES - Surgery & Transplant	SURGERY. Comprehensive surgical services are provided at FMLH, including tertiary surgical services in cardiothoracic, minimally invasive/gastrointestinal (including bariatric), oral/maxillofacial, pancreatobiliary/endocrine, surgical oncology, transplant, trauma and critical care, and vascular surgery. In addition, the department supports high-complexity procedures with robotic surgery and hybrid imaging. The surgery program actively participates in ongoing research through its Clinical Research Initiative. FMLH performed 9,849 inpatient surgeries and 13,936 outpatient surgeries during the twelve months ended June 30, 2018.TRANSPLANT SURGERY. Our Transplant Center is a joint program with Childrens Hospital of Wisconsin. The center receives vital support for tissue typing and research initiatives from BloodCenter of Wisconsin. The Center offers a full range of transplant services for adult and pediatric patients, including kidney, living donor kidney, paired kidney exchange, liver, living donor liver, pancreas, heart, lung and bone marrow transplants. The Organ Transplantation Institute's multidisciplinary approach draws upon the broad range of resources and expertise available through a variety of specialties within our campus. As an academic medical center, we are at the forefront of new developments and information, and we can help patients explore all available treatment options. We offer education classes for potential transplant patients and their families as well as for medical personnel in the community and work closely with Wisconsin Donor Network, the federally designated organ procurement organization supporting the transplant community in eastern Wisconsin. FMLH performed the following transplants during the twelve months ended June 30, 2018:Heart...................12Lung....................18Kidney..................81Liver...................25Pancreas.................4 Blood and marrow.......289Achievements:- US News & World Report - FMLH is ranked as the #2 hospital in Milwaukee and #3 in Wisconsin- 2018-19 US News & World Report FMLH is nationally ranked for nephrology and pulmonary.- 2017-2018 The Best Doctors in America Peer Selected Transplant - Our team of transplant surgeons, gastroenterologist/hepatologists, nephrologists, pulmonologists, cardiologists and advising medical staff through the medical center is experienced in handling the most complicated transplant cases. Many are listed among the Best Doctors in America.- US Department of Health & Human Services FMLH is among a select group of centers in the nation to receive the Silver Level Award in kidney transplantation.- The Joint Commission awarded the Gold Seal of Approval for our Adult VAD Destination Therapy Program. VADs are surgically implanted mechanical pumps that serve as a bridge to transplant, helping support the heart so more patients can survive longer while they wait for a transplant. - Froedtert Hospital has been recognized for outstanding quality of care, and was ranked the #3 academic medical center by Vizient in 2017.- On January 24, 2018, F&MCWs heart transplant program achieved CMS certification. From 2016 to 2017 our VAD implants increased by 237%, and heart transplants increased by 333%.- Within the last three years, Froedtert opened both a brand new Transplant Intensive Care Unit and brand new transplant clinic. Froedtert is only one of a few hospitals in the U.S. to offer a transplant-specific intensive care unit. - As of September 2018, Froedtert has 21 center of excellence designations across solid organ transplants and payers.
Part III 4a INPATIENT SERVICES - Women's Center	WOMEN'S HEALTH. FMLH offers comprehensive programs to meet the needs of women of all ages. Specialized programs include reproductive medicine, heart disease, breast care and sports medicine.The Reproductive Medicine Center located at our North Hills Health Center, provides a wide variety of fertility services including diagnostic testing, intrauterine insemination, in-vitro fertilization, and third party reproduction. Patients with successful pregnancy outcomes have the opportunity to continue care through Froedtert and Medical College OB/GYN clinic and Maternal Fetal Care Center. Our Maternal Fetal Care Center and the Fetal Concerns Center both address complications and concerns of pregnancy and newborn. Maternal Fetal Care Center provides specialized care for women from before conception through delivery with comprehensive, high quality care for high-risk pregnancies, preconception and genetic counseling, specialized testing and screening. In collaboration with Children's Hospital of Wisconsin, FMLH offers the Fetal Concerns Program, the state's only program for fetal anomalies, such as birth defects and genetic disorders. Patients cared for through Froedtert and Medical College of Wisconsin OB Clinic and Maternal Fetal Care Center deliver at the Birth Center, conveniently located in Childrens Hospital of Wisconsin. Froedtert and Medical College Birth Center had 2,995 births during the twelve months ended June 30, 2018. The Pregnancy Coagulation Clinic is one of the only of its kind in the country directed by dedicated hematologists and maternal fetal medicine specialists. These specialists help women with clotting and bleeding disorders have the best chance of achieving a healthy pregnancy. Our integrated program with specialized nursing and a comprehensive approach allows for constant interaction among sub-specialists. Because everything is in one place, were able to offer truly coordinated care.Our experts have created a program to address the unique aspects of heart disease in women. Our dedicated team of 12 female board-certified cardiologists is the largest in eastern Wisconsin. Heart disease remains the number one cause of death among women. Because heart disease may have different symptoms or respond to treatment differently in women than in men, we are doing research to learn more about the best ways to treat womens heart disease.Our Womens Sports Medicine program provides specialized care for female athletes and the unique physical, psychological, and medical issues they face. A subcomponent of the Sports Medicine Center, it is one of only a few comprehensive female-focused sports programs in the entire country and the only one in the Midwest.Other achievements:2018-19 US News & World Report ranked FMLH as High Performing Hospital Urology.
Part III 4b OUTPATIENT SERVICES	Outpatient Services:FMLH had 855,881 outpatient visits in the twelve months ended June 30, 2018. FMLH offers a wide variety of outpatient clinical services including but not limited to the following:- Anticoagulation- Audiology- Brain injury and stroke therapy- Breast Care- Cardiopulmonary & Vascular Rehabilitation- Cardiothoracic surgery- Cardiovascular medicine- Cancer care- Cancer Center 24 hour Continuity Clinic- Dermatology- Diabetes- Diagnostic radiology- Electrophysiology- Emergency medicine- Endocrinology / Metabolism- Eye institute- Family medicine- Gastroenterology- General internal medicine- General surgery- Geriatric / Gerontology- Hematology / Oncology- Hand therapy- Hypertension- Infectious diseases- Infusion- Internal medicine- Interventional radiology- Lymphedema Therapy- Mammography- Maternal fetal care- Minimally invasive surgery- Neurology- Neurosurgery- Nuclear medicine- Nutritional counseling- Obstetrics / Gynecology- Occupational health- Ophthalmology- Oral Maxillofacial surgery- Orthopedic surgery- Ostomy Services- Otolaryngology- Pain Management- Pancreatobiliary / Endocrine surgery- Physical medicine / Rehabilitation- Plastic / Reconstructive surgery- Preventive / Occupational medicine- Psychiatry- Pulmonary / Critical Care medicine- Radiology- Radiation oncology- Rehabilitation services- Reproductive medicine- Rheumatology- Sickle Cell Disease- Skin Cancer Center- Sleep lab- Speech/communications disorders- Spine care- Spinal Cord Injury program- Sports medicine- Surgical oncology- Transplant - bone marrow- Transplant - solid organ- Transplant surgery- Trauma / Critical Care surgery- Urology- Vascular surgery- Wound healing
Part III 4c MEDICAL EDUCATION	Medical Education: FMLH is the major teaching affiliate of The Medical College of Wisconsin. The affiliation agreement between The Medical College and FMLH provides for joint programs in health care education, health-related research, and health services. The Medical College places approximately 342 full-time equivalent residents at FMLH.Substantially all patient encounters at FMLH are teaching related. FMLH is utilized in The Medical College's residency programs in anesthesiology, dermatology, diagnostic radiology, endocrinology/metabolism, general surgery, internal medicine, nephrology, neurological surgery, neurology, oral and maxillofacial surgery, otolaryngology, pathology, plastic and reconstructive surgery, pulmonary medicine, transplant surgery, urology and emergency medicine, allergy and immunology, cardiology, geriatrics, gastroenterology, hematology/oncology, infectious disease, nuclear medicine, obstetrics and gynecology, ophthalmology, orthopedic surgery, physical medicine and rehabilitation, psychiatry, radiation oncology, thoracic surgery, trauma surgery, and vascular surgery. FMLH supports continuing medical education. All of the medical services provide continuing medical education for the staff, residents, and students. Scientific conferences are held on a weekly basis for most services. The Medical College faculty members, who comprise the majority of the Medical Staff of FMLH, frequently serve as directors of continuing medical education programs for other hospitals within the State of Wisconsin and the surrounding region.In addition to the affiliation with The Medical College, FMLH maintains educational affiliations with a number of other institutions, including Alverno College, Carroll University, Concordia University, Marian University, Marquette University, Milwaukee Area Technical College, Milwaukee School of Engineering, Mount Mary University, Moraine Park Technical College, University of Wisconsin System (UW Madison, UW Milwaukee and UW Oshkosh), Waukesha County Technical College, and Wisconsin Lutheran College.
Part III 4d EMERGENCY & TRAUMA CENTER	Emergency and Trauma Center. FMLH has a community emergency department serving southeastern Wisconsin. They provide critical care, general emergency and minor care. FMLH is the only adult Level I Trauma Center in southeastern Wisconsin and supports the area's only air medical rescue program (Flight For Life) serving as a vital resource for the region. As a Level 1 trauma center we have:- Prompt availability of specialists in trauma surgery, orthopaedic surgery, neurosurgery, surgical critical care, and rehabilitation medicine to adequately respond to and care for various forms of trauma.- Emergency Department staffed 24/7 by board-certified emergency physicians- Operating room dedicated solely to trauma patients- Provide injury prevention programs in the community- Provide professional education for physicians, nurses, emergency medical services personnel and physician liaisons- Conduct resident training in general surgery, orthopaedic surgery, neurosurgery and emergency medicine - Commitment to research to stay on the leading edge of the latest advances in trauma care Being a Level I status differentiates FMLH from all other hospitals and emergency departments in the region. During fiscal year 2018, Froedtert had 72,465 emergency visits and the Trauma Center evaluated 3,410 patients. Flight For Life transported 260 patients.
Part IX 24b Corporate Allocations	Froedtert Health, Inc. allocates certain revenues and expenses to related organizations: Froedtert Memorial Lutheran Hospital, Community Memorial Hospital of Menomonee Falls, St. Joseph's Community Hospital, and Froedtert & The Medical College of Wisconsin Community Physicians, Inc.. The allocation is calculated by applying an allocation metric to each accounting unit at Froedtert Health, Inc. Each entity then receives its portion of the Froedtert Health, Inc. allocation on a monthly basis.
Schedule H , Part V, Line 11, Part 1	Continued from Schedule H.Program: Cancer care navigation, awareness, screening CHNA Area of Focus: Chronic Disease-Cancer Breast Prostate LungHealth Need: Milwaukee County cancer incidence rate 503.5 (per 100,000 populations) this is above state average of 447.7 (per 100,000 populations). Cancer mortality rates for Milwaukee County are above national benchmarks. Difficulty in navigating service lines within healthcare organizations was an identified concern from key informants and community members in Milwaukee County.Strengthen community engagement within the cancer service line through implementation of programs to increase cancer awareness, screenings and early detectionGoal:Heighten awareness on cancer screening and early detection in low socioeconomic areas in Milwaukee CountyInternal Resources: Froedtert Lutheran Memorial Hospital Cancer Center Staff Froedtert & Medical College of Wisconsin Community Physicians Direct financial help through Froedtert Health Charitable Gifts & Sponsorships Collaborative Partners: American Cancer Society Wisconsin Breast Cancer Show House Sisters 4 Cure Susan G. Komen Milwaukee Public Schools American Lung Association Progressive Community Health Center Local Migrant Refugee service agencies Pink Shawl After Breast Cancer Diagnosis Faith based communities serving low socioeconomic areasMilwaukee County Homeless OrganizationsObjectives: Implement programs to increase awareness, screenings and early detection at Froedtert Hospital and within Milwaukee countyOutcomes: FY2018 a. Partnered with Clinical Cancer Center Community Outreach Coordinators serving underserved populations, with a focus on African American and Hispanic/Latino populations. Partnership on community events to provide cancer education, awareness, resources and navigation.b. Partnership with Medical College of Wisconsin Cancer Team on community events.Community Outreach Cancera. 72 cancer specific events with vulnerable populations in Milwaukee County focused on breast, prostate, lung, and smoking cessation, with over 7,500 lives touched. b. Cancer outreach coordinators provided public education presentations, around cancer prevention screening, and guidelines. Focused on the Hispanic population and African American population in Milwaukee County. c. Provided the health systems cancer support group for Spanish speaking individuals and offered the support group at Froedtert Hospital and within the community at Sixteenth Street Community Health CenterScreeningsHead/Neck Screening Provided screenings at the Mexican Consulate, located in 53202 zip code. 9 attendees were screenedProstate Cancer Screening 52 men were screened at F&MCW and Pilgrim Rest Missionary Baptist Church prostate health education symposium. Over 80 community residents attended and received prostate cancer educationBreast Cancer Screening 32 women were screened at the F&MCW and Progressive Community Health Center health fair. Three hundred residents in the Washington Park neighborhood and surrounding community attended this event offering mammography screening, education and health resourcesMedical College of Wisconsin - Cancer Control Outreach Team a. Attend bi-weekly meetingsb. Partner on community outreach events to reach at-risk populations c. Provide expertise and collaborate on cancer control strategiesPartnership with Medical College of Wisconsin Community Engagementa. Community Engagement team meets with MCW Community Engagement & Clinical Cancer Center staff on a monthly basis in an effort to explore opportunities for community engaged research with established local partners.Progressive Community Health Centers Progressive Community Health Centers new Lisbon Avenue Health Center, a federally qualified health center, provides primary and dental care in an area of Milwaukee where access to health care services is a significant need.a. Progressive Community Health Center Imaging Suite project was completed in fiscal year 2017. In FY2018, Froedtert partnered with Progressive to host a Womens Wellness Day offering free mammography screening for women and a community resource and education fair. Over 300 community members attended.FY2018 Lives touched: 7332 Total 72 Events Community Mammography screening at Progressive Clinic located 53208 total of 32 women received mammography screening Head and neck cancer screening at the Mexican Consulate 9 screened. Prostate screening at Calvary Baptist Church in partnership with MCW 20 screened Froedtert Cancer outreach coordinator at 16th street clinic as a resource weekly Cancer Spanish Support groups ongoing located at 16th street and Froedtert Campus Navigating Spanish speaking patients in clinic 7/2017 - 1/2018 32 patients were navigated to FMLH from events 2 patients navigated to Primary Care Physician 5 patient referrals to Primary Care Physician Services provided included: education on lung, prostate, smoking cessation, breast education, dietician services on healthy eating options, colon, prostate, urine bags, grief and loss and general cancer prevention, head and neck cancer screening, gynecological cancer, cancer services in Spanish, cervical cancer, and general cancer information, mammography screening, and navigation. Regular prevention events with SDC, Mexican Consulate and Jane Cremer foundation. Locations: 53208, 53204, 53205, 53226, 53215, 53206, 53220, 53154, 53212, 53218, 53202, Kenosha and Racine County. Partnering organizations: American Heart Association, Washington Park Senior Center, MPS, Social Development Commission (SDC), Susan G Komen race, Progressive clinic, Mexican Consulate, American Cancer Society, Boys and Girls Club, Oak Creek community center, Sisters 4cure, Fatherhood Summit, Latinos por la salud, Journey House, Calvary Gardens, United Community Center, Canaan Baptist Church, Sixteenth Street Community Health Center, Pierce Elementary School, Rogers Street Academy, Apostolic Church, Brown Street Academy, Hayat Pharmacy, PridefestProgram: Partnership Community Based Clinical Service and Community Health Worker ModelCHNA Area of Focus: Access to Care/Chronic Disease Health Need: Lack of awareness of what services and programs exist for community members in Milwaukee County Fragmented coordination of care and difficult to navigate resources in Milwaukee County 12 % of Milwaukee County residents did not seek medical care due to cost 18% of Milwaukee County residents did not take medication due to cost 19% of Milwaukee County residents rate their health as poor 11% of Milwaukee County residents are using the emergency department as their only source of access to healthcare 4% of Milwaukee County residents are uninsuredAlign health system resources with identified health needs in the Community Health Improvement Plan for Milwaukee County (health literacy, care navigation, community health worker, effective models, and best practice). Develop and demonstrate capabilities in population health and risk management.Recruit and train individuals on Community Health Worker Model.Internal Resources: Community Engagement Staff and FMLH Financial counselors Collaborative Partners: Sixteenth Street Community Health Center Progressive Community Health Center Outreach Community Health Center Aids Resource Center of Wisconsin United Methodist Children Services Milwaukee Area Health Education Center Core El Centro Milwaukee County Health Departments Neighborhood Organizations Milwaukee Health Care Partnership Food Pantries in Milwaukee County Medical College of Wisconsin Housing Authority Faith based communities serving low socioeconomic areasObjectives: Increase self-management in high risk populations by addressing social determinants in health Expand health resources to assist, support, and navigate through community based clinical services and insurance coverageOutcomes:FY2018The community health worker (CHW) is responsible for offering culturally appropriate outreach to targeted populations with the goal of decreasing health disparities. The CHW will provide health education in the areas of prevention, early identification, health maintenance and provide assistance with healthcare access and community resources in the 53208 area in Milwaukee County. Froedtert Hospital will provide United Methodist Children service /Washington Park Partners grant funding to support the Community health workers role for 0.5 FTE position. Data metrics are reported quarterly to Froedtert Hospital and in addition, the Community Health worker will provide care coordination and system navigation for Froedtert Hospitals high emergency room utilizers in collaboration with Froedtert Healths Emergency Department Care Coordination (EDCC) program. This will include; providing home visits and attending healthcare appointments with individuals; and helping the patient to navigate the healthcare environment. 52 referrals with 36 patients who responded 63 patient visit encounters, 27 previous clients and 3 new clients 25 appointme
Schedule H, Part V, Line 10	www.froedtert.com is the landing page for Froedtert Hospital. The Community Health Implementation Plan is housed on the Community Engagement webpage: http://www.froedtert.com/upload/docs/giving/community-benefit/community-health-improvement-plan-fmlh.pdf
Schedule H, Part V, Line 11 Areas Not Addressed	Areas Not AddressedInfectious Disease Not a priority selected by community advisory committee. Local health departments are addressing this issue. Category: Infectious DiseaseMilwaukee County: 21% reported infectious diseases; respondents who were female, 35 to 44 years old or African American were more likely to report this.Explanation: Not a priority selected by community advisory committee Teen PregnancyUnited Way of Greater Milwaukee and Waukesha County, City of Milwaukee Health Department and a number of non-profit agencies are working on this issue.Category: Sexual HealthMilwaukee County: 28% of respondents reported teen pregnancy as a top issue; respondents who were 18 to 24 years old, non-white and non-African American, Hispanic, with some post high school education or less, in the bottom 60 percent household income bracket or unmarried were more likely to report thisExplanation: United Way of Greater Milwaukee and Waukesha County and the City of Milwaukee Health Department are the lead agencies in reducing teen pregnancy in the community. Infant MortalityUnited Way of Greater Milwaukee and Waukesha County, City of Milwaukee Health Department and a number of non-profit agencies are working on this issue.Category: Reproductive HealthMilwaukee County: 10% reported infant mortality as a top issue; respondents who were 35 to 44 years old, in the top 40 percent household income bracket or married were more likely to report thisExplanation: United Way of Greater Milwaukee and Waukesha County and the City of Milwaukee Health Department are the lead agencies in reducing teen pregnancy in the community.Lead poisoningCity of Milwaukee Health Departments, addressing city lead issues. Category: Environmental health Milwaukee County: 2% of respondents reported lead poisoning as a top issue.Explanation: Froedtert Memorial Lutheran Hospital does not have existing resources to combat this issue. There are other local health and human service agencies and organizations dedicated to this issue.
Schedule H, Part V, Line 11, Part 2	CONTINUED from Schedule H, Parti VI, Line 11, Part 1Program: Partnership Community ClinicsCHNA Area of Focus: Access to CareHealth Need: 12% of Milwaukee County residents did not seek medical care due to cost 18% of Milwaukee County residents did not take medication due to cost 19% of Milwaukee County residents rate their health as poor 11% of Milwaukee County residents are using the emergency department as there only source of access to healthcare 4% of Milwaukee County residents are uninsuredProvide primary care access in Milwaukee CountyInternal Resources: Community Engagement staff F&MCW primary care clinics FMLH DieticiansCollaborative Partners: Sixteenth Street Community Health Center Milwaukee County Health Departments Meijer or local grocery stores Progressive Community Health Center AIDS Resource Center of Wisconsin Outreach Community Health Center Milwaukee Health Services Milwaukee Health Care Partnership Outpost Victory Gardens Hunger Task Force Feeding America Faith based communities serving low socioeconomic areasObjective: Expand access to care and healthcare services to vulnerable populations in Milwaukee County.Outcomes: FY2018Froedtert Memorial Lutheran Hospital participates in the Specialty Access for the Uninsured Program (SAUP) in collaboration with the Milwaukee Health Care Partnership; SAUP program recognized the need for specialized care that may not be available for individuals at Community Clinics. Individuals are referred from a Federally Qualified Health Center (FQHC), meeting financial requirements, and the cost of their specialty care is covered under the SAUP program through Healthy Wisconsin Partnership Program (HWPP). Froedtert Hospital received 454 referrals to our specialists for a complete continuum of care. The Emergency Department to Medical Home initiative, in collaboration with the Milwaukee Health Care Partnership, helps connect Emergency Department individuals with primary care, medical homes. Intake coordinators in safety net clinics have been added to follow up with patient appointments scheduled in the ED and help establish those individuals for ongoing primary care. The health systems have also enhanced the role of ED case managers in transition care management for this patient population. In fiscal year 2018 1,346 health home referrals were secured through Froedtert s Emergency Department program with 52% of those individuals presenting for those appointments. FY2018 Specialty Access for the Uninsured Program (SAUP) Number of SAUP referrals from Aids Resource Center of Wisconsin 12 Number of SAUP referrals from Outreach Community Health Center 111 Number of SAUP referrals from Progressive Community Health Center 14 Number of SAUP referrals from Sixteenth Street Community Health Center 317 Collective no show rate 19% Current focus: continue to build on providing continuum of care and specialty access for patientsEmergency Department Care Coordination (EDCC) Total scheduled appointments by all hospitals 4086 Total number of scheduled appointments by FQHCs 3908 Total scheduled appointments by Froedtert 1346 Total percent of kept appointments by Froedtert 52% Current focus: Exploring urgent care as a strategy and identifying collective strategies for frequent ED utilizersMarketplace Market Place open enrollment started November 1, 2017- December 15,2017; Number of FMLH financial counselors 18 o Number of patients who are enrolled in marketplace through F&MCW 42o Number of patients who enrolled in Badgercare through F&MCW 416o Number of phone calls answered 8,987Program: School Health ProgramCHNA Area of Focus: Access to CareHealth need Access to health services continues to emerge in Milwaukee County. Data demonstrates families located in lower socioeconomic status areas in Milwaukee County have greater health disparities. Zip codes with lower socioeconomic status include; 53218, 53216, 53210, 53206, 53212, 53205, 53208, 53233, 53204, 53215Reach underserved population with accessible affordable health services.Internal Resources: Community Engagement staff. Collaborative Partners: Milwaukee Public Schools (MPS) Westside Academy schools Progressive Community Health Center Smart Smiles Dental Program Childrens Hospital of Wisconsin Milwaukee County Health DepartmentsThe school nurse program is a collaborative between Froedtert & Medical College of Wisconsin, Froedtert Memorial Lutheran Hospital, Milwaukee Public School and Progressive Community Health Center, the local FQHC in the neighborhood. Froedtert Hospital provides a full-time school nurse for students in at Westside Academy I & II, a K-8 Milwaukee Public School charter school serving over 200 students and their families offering care for chronic disease as well as case management services during the school year.Objectives: Improve the educational performance and well-being of school aged childrenOutcomes: FY2018School Attendance: 87%Return to Class Rate: 98%Immunization Compliance: 98%# Students Receive Sealants from Seal a Smile: 410 students# Student visits to RN: 1838# Medications given: 893#Withdrawals/Additions: 138# 54 vision screenings# students with chronic diseases: 37%Health Lessons Taught:Staff in-service on blood borne pathogens/AED/Code Blue/Allergies/DPI inhaler administration training and health to start school yearViolence Prevention Hand Washing/Sneeze in Sleeve K3-K5 Anger management lessonsGood touch/Bad touch K3-K5 Program: Injury and Violence prevention programs/partnershipsCHNA Area of Focus: Injury & ViolenceHealth need: Injury and Violence were among the top three concerns in Milwaukee County. Issues identified from Milwaukee County key informants and residents included; domestic and intimate partner violence, childhood trauma, youth violence, and gun violence. There was an identified need for collaboration among community partners across sectors in Milwaukee County 10% of Milwaukee County residents had experienced one personal safety issue in the last year. 10,919 hospitalizations for injuries for Milwaukee County. 7,953 Milwaukee County Emergency Department visits for motor vehicle traffic crashes 11,142 Milwaukee County Emergency Department visits struck by or against object or person 22,352 Milwaukee County Emergency Department visits for falls 6,509 Milwaukee County Emergency Department visits for unspecified cause or injuryDevelop and demonstrate capabilities in population health and risk managementAlign system health resources with identified needs in community health improvement planInternal resources: FMLH Inpatient and Outpatient departments FMLH & MCW Trauma team MCW Emergency Medicine teamCollaborative partners: Milwaukee County Homicide Review Board Medical College of Wisconsin Sojourner Peace Center Benedict Center Neighborhood Associations Milwaukee Public Schools Safe and Sound Milwaukee County Fire Departments Milwaukee County Police Departments Milwaukee County Health Departments Milwaukee County Public and Private Schools National Black Nurses Association- Milwaukee Chapter Holy Cathedral- Word of Hope Ministries Project Safe Neighborhoods Black Health Coalition Washington Park Neighborhood Faith based communities serving low socioeconomic areasObjectives: Injuries Increase awareness of dangers related to distracted driving Increase awareness of slips, trips, and falls ViolenceCollaborate with community partners across sectors to inform programming being brought to the Washington Park neighborhood.Outcomes: As a Member of the Milwaukee County Homicide review board; will attend quarterly meetings on a quarterly basis.Outcomes: FY2018Violence Prevention Partner with Medical College of Wisconsin Injury Prevention department attend coalition meetings Support Cardiff Model in partnership with Medical College of Wisconsin Injury Prevention team Attend Homicide Review Board, Community Service Provider meetingsInjury Prevention Participate in injury prevention efforts with Oak Creek Health department Taught community classes on falls prevention Provided Mock Crash program a schools in collaboration with faculty, parents and students Taught Distracted Driving program at local schools Lives touched: 1049 Number of events: 63 Education topic: Stop the bleed training, support Sr. cycling Olympics, Mock Crash/distracted driving, EMS Trauma Education Day, Trauma Care After Resuscitation Course, Wauwatosa Safety and Injury Prevention, Wisconsin Violence and Injury Partnership, SERTAC Conference, Wauwatosa Legislative Breakfast, Description: Stop the Bleed is an initiative to teach you how to stop uncontrolled bleeding with basic hemorrhage control techniques, such as pressure, packing or a tourniquet. Death from bleeding can happen in mere minutes. Stop the Bleed training can help you save a life if you are a bystander to trauma. A certificate from the American College of Surgeons is provided. Locations: Froedtert Hospital, Community Memorial Hospital, Millimen-Brookfield, WAC, Oshkosh, MCW Hub, Wauwato
Schedule H, Part V, Line 11, Part 3	CONTINUED from Schedule H, Parti VI, Line 11, Part 2Program: Partnership with community organizations and health service agenciesCHNA Area of Focus: Behavioral HealthHealth Need:18% of Milwaukee County residents reported having mental health conditionsMilwaukee County residents reported in increase in opioid and prescription drug abuse. Milwaukee County has seen an increase in suicide death ratesReach underserved population with accessible affordable health services Define behavioral health strategy as its relates to community health improvement plan for Milwaukee CountyInternal Resources: FMLH Community Engagement staff FMLH Case Management FMLH Care CoordinatorsFMLH & MCW Emergency Medicine staffCollaborative Partners:Behavioral Health Division Milwaukee CountyHealth and Human Services in Milwaukee CountyNational Association of Mental IllnessUnited Way of Greater Milwaukee & Waukesha CountyOpioid and Heroin Task Force in Milwaukee CountyMilwaukee Police Department Milwaukee Public Schools Milwaukee Center for IndependenceProgressive Community Health CenterWashington Park Department of Corrections Community Justice Council Faith based communities serving low socioeconomic areasOutcomes:FY2018Behavioral Health - Partnership with community organizations and health service agenciesWe have taken an active role in participating in multiple coalitions to address the opioid crisis within our community. This includes actively engaged with Milwaukee County substance abuse coalition, West Allis AODA task force, Oak Creek AODA task. Also participating in Wauwatosa Health department substance abuse task force. Attended and actively participate on 9 opioid/heroin coalitions meetings across Milwaukee county Task force included: Milwaukee County Substance Abuse Coalition, West Allis Opioid/heroin coalition, Oak Creek opioid/heroin coalition, Wauwatosa Substance abuse coalition Committee focus is on prevention of substance abuse, recondition of lives lost, awareness of current problem and identifying prevention strategies.Subcommittee work planning and partnership with International overdose awareness event in Milwaukee County focused on recognition of lives lost to overdoses as well as prevention event.Greendale & Greenfield Health recourse fair/ opioid &heroin education session 189 lives touched June opioid crisis education session for FMLH and MCW advance practice providersMilwaukee County Substance abuse meeting May 17, 2018Wauwatosa Substance abuse committee meeting April,2018Supported/sponsor of West Allis KIP room. These hidden in plain sight rooms, takes a teens room and identifies drug and substance items either out in the open or common hiding spots - 32 Tours / 231 Participants

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:	17005038
Software Version:	2017v2.2

1	Briefly describe the organization’s mission or most significant activities: Froedtert Memorial Lutheran Hospital, Inc. (FMLH) advances the health of the communities we serve through exceptional care enhanced by innovation and discovery.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	7,247
6	Total number of volunteers (estimate if necessary) .............	6	312
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,737,269	4,289,241
9	Program service revenue (Part VIII, line 2g) .........	1,517,068,899	1,650,503,917
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	421,131	998,699
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	53,576,613	71,774,417
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,575,803,912	1,727,566,274
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	369,017,438	391,941,494
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,081,856,714	1,197,566,970
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,450,874,152	1,589,508,464
19	Revenue less expenses. Subtract line 18 from line 12.......	124,929,760	138,057,810
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	950,607,430	1,014,178,461
21	Total liabilities (Part X, line 26).............	94,632,833	84,580,668
22	Net assets or fund balances. Subtract line 21 from line 20.....	855,974,597	929,597,793

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 590,099,141 including grants of $ ) (Revenue $ 771,723,748 )
	Inpatient Services - See Schedule O

4b	(Code: ) (Expenses $ 587,237,135 including grants of $ ) (Revenue $ 796,655,392 )
	Outpatient Services - See Schedule O

4c	(Code: ) (Expenses $ 111,339,798 including grants of $ ) (Revenue $ 43,728,500 )
	Medical Education - See Schedule O

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 36,356,835 including grants of $ ) (Revenue $ 104,655,041 )
4e	Total program service expenses1,325,032,909

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) McPike Linda........................................................................ BOD Secretary	1.00 .......................40.00	X			0	277,628	22,222
(19) Behrens Elizabeth........................................................................ VP Quality/Pt Safe	40.00 .......................0.00		X		324,729	0	61,696
(20) Colpaert Gary........................................................................ VP-Clinical&Supp	40.00 .......................0.00		X		313,217	0	50,381
(21) Gray D Allan........................................................................ VP Periop Svc	50.00 .......................0.00		X		367,418	0	32,111
(22) Leevan Yakira........................................................................ CRNA-Anesthesia	40.00 .......................0.00		X		310,712	0	41,736
(23) Stulac Motzel Wendy........................................................................ VP-Ambulatory Svc	40.00 .......................0.00		X		340,806	0	70,433
(24) Eastham Catherine M........................................................................ Former - Officer (Secr)	0.00 .......................40.00			X	0	967,743	89,023
(25) Hawig Scott........................................................................ Former - Officer (CFO)	0.00 .......................48.00			X	0	1,234,468	171,331
(26) VanDeKreeke Jeffrey........................................................................ Former - Officer (Treas)	0.00 .......................46.00			X	0	511,807	83,586

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,284,411	6,230,173	1,220,618

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	4,229,241
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	60,000

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		4,289,241

		Business Code
2a	Hospital Inpatient	900099	771,723,748	771,723,748
b	Hospital Outpatient	900099	796,655,392	796,655,392
c	Medical Education	611600	43,728,500	43,728,500
d	Trauma	900099	38,396,277	38,396,277
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,650,503,917

3 Investment income (including dividends, interest, and othersimilar amounts) ......			900,593	546,989		353,604
4 Income from investment of tax-exempt bond proceeds			120,962			120,962
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	860,610		7a
b	Less: cost or other basis and sales expenses	883,466		7b
c	Gain or (loss)	-22,856		7c
d	Net gain or (loss).........			-22,856			-22,856
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	Corp Allocated Revenue		561000	42,059,107	42,059,107
b	Other Department Revenue		561499	7,278,091	7,278,091
c	Rent Revenue		561499	12,604,732	12,604,732
d	All other revenue ....			9,832,487	3,769,845		6,062,642
e	Total. Add lines 11a–11d ......			71,774,417
12	Total revenue. See instructions.....			1,727,566,274	1,716,762,681		6,514,352

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	1,827,815		1,827,815
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	0
7	Other salaries and wages........	363,983,540	349,565,238	14,418,302
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	0
9	Other employee benefits .......	58,503	55,933	2,570
10	Payroll taxes ...........	26,071,636	24,926,345	1,145,291
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	1,074,111	1,978	1,072,133
c	Accounting ...........	0
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	183,804,701	167,862,373	15,942,328
12	Advertising and promotion ....	1,401	1,376	25
13	Office expenses .......	4,677,862	3,511,213	1,166,649
14	Information technology ......	752,488	744,226	8,262
15	Royalties ..	0
16	Occupancy ...........	30,736,436	25,935,508	4,800,928
17	Travel ............	477,520	460,738	16,782
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	735,304	631,980	103,324
20	Interest ...........	17,352,427	14,642,037	2,710,390
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	59,120,310	49,885,916	9,234,394
23	Insurance ...	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies	366,452,402	366,048,787	403,615
b	Corporate Allocations	349,617,481	145,817,638	203,799,843
c	Medical Education	111,339,798	111,339,798
d	Affiliate Support-Comm Phys	34,921,650	28,719,565	6,202,085
e	All other expenses	36,503,079	34,882,260	1,620,819
25	Total functional expenses. Add lines 1 through 24e	1,589,508,464	1,325,032,909	264,475,555	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			19,350	1	21,050
2	Savings and temporary cash investments .........			24,552,571	2	2,291,068
3	Pledges and grants receivable, net ......				3	0
4	Accounts receivable, net .............			192,374,332	4	209,179,757
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6	0
7	Notes and loans receivable, net ...........				7	0
8	Inventories for sale or use ............			16,029,754	8	17,769,121
9	Prepaid expenses and deferred charges ......			5,657,247	9	6,595,435
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,349,732,669
b	Less: accumulated depreciation	10b	599,823,858	674,093,424	10c	749,908,811
11	Investments—publicly traded securities .				11	0
12	Investments—other securities. See Part IV, line 11 .....				12	0
13	Investments—program-related. See Part IV, line 11 ..				13	0
14	Intangible assets ...............				14	0
15	Other assets. See Part IV, line 11 ...........			37,880,752	15	28,413,219
16	Total assets. Add lines 1 through 15 (must equal line 33)...			950,607,430	16	1,014,178,461

17	Accounts payable and accrued expenses .....	56,019,583	17	58,294,335
18	Grants payable ...		18
19	Deferred revenue .........	161,633	19	214,320
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..	364,015	24	294,796
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	38,087,602	25	25,777,217
26	Total liabilities. Add lines 17 through 25..	94,632,833	26	84,580,668

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	855,974,597	32	929,597,793
33	Total liabilities and net assets/fund balances ........	950,607,430	33	1,014,178,461

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Froedtert Health Inc 9200 W Wisconsin Avenune Milwaukee,WI53226 39-2014409	Management Services	WI	501 (c)(3)	Ln 12, Type 111	N/A		No
(2)Froedtert Hospital Foundation 9200 W Wisconsin Avenue Milwaukee,WI53226 39-1431192	Health, welfare, research and education promotion	WI	501(c)(3)	10	Froedtert Memorial Lutheran HospitalInc	Yes
(3)Community Memorial Hospital of MF Inc W180 N8085 Town Hall Road Menomonee Falls,WI53051 39-0987025	Hospital	WI	501(c)(3)	3	Froedtert Health Inc		No
(4)St Josephs Community Hospital of West B 3200 Plesant Valley Road West Bend,WI53095 39-0806302	Hospital	WI	501(c)(3)	3	Froedtert Health Inc		No
(5)St Josephs Community Foundation 3200 Pleasant Valley Road West Bend,WI530953868 39-2034296	Health and welfare promotion	WI	501(c)(3)	7	St Josephs Comm Hosp of West Bend Inc		No
(6)Community Memorial Foundation of MF Inc N180 N8085 Town Hall Road Menomonee Falls,WI53051 39-1635057	Health and welfare promotion	WI	501(c)(3)	10	Community Memorial Hospital of MF Inc		No
(7)Community Outpatient Health Svc of MF I W180 N8085 Town Hall Road Menomonee Falls,WI53051 39-1743056	Outpatient Medical and Dental Services	WI	501(c)(3)	3	Community Memorial Hospital of MF Inc		No
(8)QHS 1 Inc 9200 W Wisconsin Avenue Milwaukee,WI53226 20-2636686	Healthcare Services	WI	501(c)(3)	Line 12, Type 1	Froedtert Health Inc		No

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Froedtert Surgery Center LLC 9200 W Wisconsin Ave Milwaukee,WI53226 20-1499345	Surgery center	WI	FMLH	Related	1,092,285	5,632,050		No			No	70.000 %
(2) D1 Sports Training of Milwaukee LLC 9200 W Wisconsin Milwaukee,WI53226 47-3322294	Sports Therapy	WI	N/A					No			No
(3) FHHP LLC 9200 W Wisconsin Ave Milwaukee,WI53226 45-2221564	Health Care	WI	N/A					No			No
(4) FMLH MCW Real Estate Ventures LLC 9200 W Wisconsin Ave Milwaukee,WI53226 26-0629591	Real Estate	WI	N/A					No			No
(5) Wisconsin Diagnostic Laboratories LLC 9200 W Wisconsin Ave Milwaukee,WI53226 39-1896819	Laboratory Services	WI	N/A					No			No
(6) Waukesha Surgery Center LLC 2400 Golf Road Pewaukee,WI53072 81-1166201	Surgery Center	WI	N/A					No			No
(7) Drexel Town Square Surgery Center LLC 7901 S 6th Street Second Floor Oak Creek,WI53154 81-4904300	Surgery Center	WI	N/A					No			No
(8) THP - Froedtert Health Venture LLC 1415 Louisiana Fl 27th Houston,TX77002 82-3559342	Health Care	TX	N/A					No			No
(9) F&MCW Network LLC 9200 W Wisconsin Ave Milwaukee,WI53226 81-4382585	Health Care	WI	N/A					No			No
(10) Menomonee Falls Ambulatory Surgery Ctr W180N8045 Town Hall Rd Menomonee Falls,WI53051 39-1745697	Health Care	WI	N/A					No			No

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved
(1) Froedtert Hospital Foundation	c	1,929,241
(2) Froedtert Hospital Foundation	p	2,573,195
(3) Froedtert Hospital Foundation	s	443,739

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No